I am 45, and a few years ago I noticed marionette lines and now they are getting more noticeable. I have had Artefill injected a few years ago and noticed very little change. I also had Juvederm Ultra injected more recently and noticed hardly any change. I am hoping a lower face lift with fat transfer to the lines will make a more dramatic change. What is actually the best procedure for my problem?
Answer: Marionette line treatment options explained Thanks for posting your question as it is a common one. Marionette lines or the wrinkle/folds from around the mouth to the chin can initially be treated with fillers or fat in a younger patient with adequate elasticity. However, when there is enough aging, simply placing filler product here has a limit and will have limited change or even an unnatural result when too much product is placed. (I will add, laser resurfacing and radio frequency also have a limited role to help here too in the younger patient). The next step would be to consider a lower facelift. A lower facelift really improves the marionette lines/folds, jowls, and neck. Incisions may vary depending on each patient's aging. After lifting, fillers or fat may not be desired or on the contrary may even work better to help to further efface lines and folds for additional result. Please consult with several board certified surgeons experienced in facial rejuvenation to review all your options.
Helpful 1 person found this helpful
Answer: Marionette line treatment options explained Thanks for posting your question as it is a common one. Marionette lines or the wrinkle/folds from around the mouth to the chin can initially be treated with fillers or fat in a younger patient with adequate elasticity. However, when there is enough aging, simply placing filler product here has a limit and will have limited change or even an unnatural result when too much product is placed. (I will add, laser resurfacing and radio frequency also have a limited role to help here too in the younger patient). The next step would be to consider a lower facelift. A lower facelift really improves the marionette lines/folds, jowls, and neck. Incisions may vary depending on each patient's aging. After lifting, fillers or fat may not be desired or on the contrary may even work better to help to further efface lines and folds for additional result. Please consult with several board certified surgeons experienced in facial rejuvenation to review all your options.
Helpful 1 person found this helpful
Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer
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Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer
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November 20, 2018
Answer: Marionette lines Thank you for your question. The best treatment for the marionette lines is totally individual to the given individual. Some times a filler or a combination with botox or surgery is there is overhanging skin or combination
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November 20, 2018
Answer: Marionette lines Thank you for your question. The best treatment for the marionette lines is totally individual to the given individual. Some times a filler or a combination with botox or surgery is there is overhanging skin or combination
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October 22, 2018
Answer: Best Procedure for Deep Marionette Lines I would definitely include some volumizing procedure (fillers or fat) to correct your midface and lower face deficiency. A midface lift would also be beneficial to correct the nasolabials and Marionettes; since the periorbital deformities can be assessed through the same approach.
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October 22, 2018
Answer: Best Procedure for Deep Marionette Lines I would definitely include some volumizing procedure (fillers or fat) to correct your midface and lower face deficiency. A midface lift would also be beneficial to correct the nasolabials and Marionettes; since the periorbital deformities can be assessed through the same approach.
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January 24, 2015
Answer: Lower Face Lift and Fat Transfer Thank you for your question about lower face lift.If fillers have failed, then yes, a lower face lift, fat transfer and/or laser resurfacing might be beneficial for you.To be sure, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.I hope this helps.
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January 24, 2015
Answer: Lower Face Lift and Fat Transfer Thank you for your question about lower face lift.If fillers have failed, then yes, a lower face lift, fat transfer and/or laser resurfacing might be beneficial for you.To be sure, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.I hope this helps.
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